Sponsored by Reps. Spencer, Stover, et al., HB707 (“The Georgia Health Care Freedom and ACA Noncompliance Act”) states that neither the State of Georgia nor any of its political subdivisions or agencies may engage in any activity that aids in the enforcement or implementation of the federal Patient Protection and Affordable Care Act of 2010, including the creation of state-run health care exchanges. The bill also provides that The Georgia General Assembly is empowered to enact sanctions, fines, penalties, or otherwise to ensure compliance with the legislation, and it authorizes the State Attorney General to bring a lawsuit in a state or local court to enjoin any person or entity from violation of the law. Finally, any health insurance contract purchased or established in violation of this legislation shall be void and shall not be enforced by the courts of this state.

Sponsored by Rep. Ritze, HB2421 states that “an agency, officer, or employee of the state shall not…engage in an activity that aids any person in the enforcement of the Patient Protection and Affordable Care Act of 2010….The Legislature of the State of Oklahoma is empowered to take all necessary actions to ensure that the provisions…are adhered to by all agencies, departments and political subdivisions of this state.” Under this legislation, “an Oklahoma resident taxpayer who is subjected to a tax by the Internal Revenue Code under 26 U.S.C., Section 5000A of the Patient Protection and Affordable Care Act shall receive a tax deduction in the exact amount of the taxes or penalty paid the federal government pursuant to 26 U.S.C., Section 5000A.” HB2421 also bars the creation of a state Obamacare exchange, prohibits applications for Obamacare grant funds, and provides that the State Attorney General will bring action in defense of any person or business harmed by the Patient Protection and Affordable Care Act.

Sponsored by Sen. Lamping, SB546 would update the Missouri Health Care Freedom Act of 2010 by prohibiting the the state from implementing a health insurance exchange, prohibiting insurers from accepting remuneration and prescribing duties of the Attorney General for enforcement of the act.

The act restates Missouri’s public policy of allowing its citizens the freedom to choose or decline to choose any mode of securing health care services without facing a penalty and provides that it is against Missouri public policy to implement or operate a health insurance exchange in Missouri. The act further provides that if a health insurance issuer operating in Missouri accepts any remuneration that may result in the imposition of penalties contrary to Missouri’s public policy, then the Director of Insurance shall suspend the issuer’s license to transact business in Missouri. The suspension will stay in place until the issuer represents that it has returned the remuneration to its source and will decline any such future remuneration. The act further imposes a duty upon the Attorney General to seek injunctive relief and other appropriate remedies whenever the public policy set forth in the act is being violated.

Sponsored by Reps. Chumley, Taylor, Smith, et al., H3101 (“South Carolina Freedom of Health Care Protection Act”) states, “The provisions of the Patient Protection and Affordable Care Act of 2010 which exceed the limited powers granted to the Congress pursuant to the Constitution cannot and should not be considered the supreme law of the land. The General Assembly of South Carolina has the absolute and sovereign authority to interpose and refuse to enforce the provisions of the Patient Protection and Affordable Care Act of 2010 that exceed the authority of the Congress….No agency of the State, officer or employee of this State, acting on behalf of the state, may engage in an activity that aids any agency in the enforcement of those provisions of the Patient Protection and Affordable Care Act of 2010 and any subsequent federal act that amends the Patient Protection and Affordable Care Act of 2010.” In addition, H3101 prohibits the establishment of Obamacare state health exchanges, directs the state attorney general to defend individuals and businesses harmed by the Affordable Care Act, and offers a tax deduction to individuals in the exact amount of the taxes or penalty paid to the federal government for not having health care insurance.

Sponsored by Rep. Mike Ritze et al. and Sen. Nathan Dahm, HB1021/SB203 states that the federal Patient Protection and Affordable Care Act and the federal Health Care and Education Reconciliation Act of 2010 are inconsistent with the power granted to the federal government in the Constitution of the United States and are “null and void” in Oklahoma. Furthermore, HB1021 states: “It shall be the duty of the Legislature of this state to adopt and enact any and all measures as may be necessary to prevent the enforcement of the ‘Patient Protection and Affordable Care Act’ and the ‘Health Care and Education Reconciliation Act of 2010’ within the limits of this state.”

Sponsored by Sen. Phil Boots, SB230 states that the federal Patient Protection and Affordable Care Act and the federal Health Care and Education Reconciliation Act of 2010 are inconsistent with the power granted to the federal government in the Constitution of the United States, and are void in Indiana. Provides that a person who knowingly or intentionally implements or enforces, or attempts to implement or enforce, a federal law that is declared void by the general assembly commits a Class D felony.

Sponsored by Rep. Kurt Bahr, and co-sponsored by Rep. Andrew Koenig and more than 30 other legislators, HB1534 declares that the federal Patient Protection and Affordable Care Act is unconstitutional and null and void in Missouri. To prevent the federal law’s enforcement in Missouri, HB1534 says that any state or federal agent that attempts to enforce the federal act will be guilty of a class A misdemeanor.

Sponsored by Sens. Gould and Murphy, SB1475 would nullify the Patient Protection and Affordable Care Act, and the Health Care and Education Reconciliation Act of 2010 in their entirety and make attempts at enforcing the federal law a Class 4 felony. The bill claims that federal health care actions “shall not be recognized by this state, are specifically rejected by this state, and are considered void and of no effect in this state.”

Sponsored by Rep. Carl Wimmer and signed into law by Gov. Gary Herbert, HB67 prohibits a state agency or department from implementing federal health care reform passed by the United States Congress after March 1, 2010, unless a state agency reports to the Legislature regarding costs and impact on state reform efforts. HB67 adds: “The Legislature may pass legislation specifically authorizing or prohibiting the state’s compliance with, or participation in, federal health care reform.”

Sponsored by Sens Sitte, Berry, Dever and Reps Kasper, Keiser, Ruby; and signed into law by Gov. Dalrymple; SB2309 declares the federal Patient Protection and Affordable Care Act of 2010 (a.k.a. Obamacare) unconstitutional. The law authorizes the legislative assembly to consider enacting any measure necessary to prevent enforcement.

Sponsored by Sens Sitte, Berry, Dever and Reps Kasper, Keiser, Ruby; and signed into law by Gov. Jack Dalrymple; SB2309 declares the federal Patient Protection and Affordable Care Act of 2010 (a.k.a. Obamacare) unconstitutional. The law authorizes the legislative assembly to consider enacting any measure necessary to prevent enforcement.

A citizen-initiated constitutional amendment approved by voters in 2011, Ohio Health Care Amendment Issue 3 states that “no federal, state, or local law or rule shall compel, directly or indirectly, any person, employer, or health care provider to participate in a health care system.” The constitutional amendment specifies that it is illegal for the federal government to use a fine or tax to compel citizens into a health care plan.

Under Executive Order No. 2011-03 signed by Gov. Butch Otter on April 20, 2011, no executive branch department, agency, institution or employee of the State of Idaho shall establish or amend any program or promulgate any rule to implement any provisions of the Patient Protection and Affordable Care Act (PPACA – aka “Obamacare”). The State of Idaho may not implement any provisions of the PPACA, assist any employee or agent of the federal government to implement or enforce the PPACA, or accept or expend federal funds to implement the provisions of the PPACA.